Soccer Camp 2019 Registration
Parent(s) First Name *
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Parent(s) Last Name *
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Street Address *
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City *
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Zip Code *
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Email *
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Home or Cell Phone *
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Church Home *
Who should we contact if unable to reach you in an emergency? (Name, phone and relationship to camper(s)) *
Your answer
Please note GRADE in the fall of 2019. Participants must be 5 years old by September 1, 2019. Participants must be incoming grades K-8th and are responsible for bringing their own soccer shoes (athletic shoes or soccer cleats), shin guards (mandatory), and sunscreen (recommended). We will provide jerseys, water bottles, and daily snacks. Space is limited.
Child #1 First Name *
Your answer
Child #1 Last Name *
Your answer
Child #1 Gender *
Child #1 Birthday *
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DD
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YYYY
Child #1 Allergies or Other Concerns *
Your answer
Child #1 Incoming Grade Fall 2019 *
Child #1 Jersey Size *
Child #1 Previous Soccer Experience? *
If YES, please indicate...
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